Gormley, Michael C

Gormley, Michael C is an sole proprietor health care provider with primary practice located at 549 4Th St , Niagara Falls NY 14301-1530. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gormley, Michael C can be contacted via phone (716) 284-2848.

Contact Information

Primary practice address
549 4Th St Niagara Falls NY 14301-1530
Phone: (716) 284-2848
Fax: (716) 284-2848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001405 New York

Profile Details

NPI number 1972614220
LBN Legal business name Gormley, Michael C
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972614220 NPPES
New York Other 00010236301 UNIVERA
New York Other 000607209001 UNIVERA
New York MEDICAID 00609485 UNIVERA
New York Other 9308303 UNIVERA

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